*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I519 - Heart disease, unspecified - as a primary diagnosis code | I519 - Heart disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.22 | |
| Readmission Rate (%) | 18.86 | |
| Unplanned Readmission Rate (%) | 10.74 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 303: ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 302: ATHEROSCLEROSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 55,597 | ||
| Total Hospitalizations with ICD I519 - Heart disease, unspecified | 105 | ||
| DRG Share of Total Hospitalizations | 0.17 | ||
| % of Total ICD I519 - Heart disease, unspecified in DRG | 59.66 | ||
| Avg LOS at DRG | 2.64 | ||
| Avg LOS with ICD I519 - Heart disease, unspecified | 3.31 | ||
| Readmission Rate at DRG | 18.86 | ||
| Readmission Rate with ICD I519 - Heart disease, unspecified | 14.77 | ||
| Unplanned Readmission Rate at DRG | 13.07 | ||
| Unplanned Readmission Rate with ICD I519 - Heart disease, unspecified | NA | ||
| Total Medicare payments at DRG | $242,992,572 | ||
| Total Medicare payments with ICD I519 - Heart disease, unspecified | $563,230 | ||
| Total Medicare payment per Day at DRG | $1,658 | ||
| Total Medicare payment per Day with ICD I519 - Heart disease, unspecified | $1,618 | ||
| Total Medicare payment per Hospitalization at DRG | $4,371 | ||
| Total Medicare payment per Hospitalization with ICD I519 - Heart disease, unspecified | $5,364 | ||
| Total Medicare Charges at DRG | $1,301,876,366 | ||
| Total Medicare Charges with ICD I519 - Heart disease, unspecified | $2,874,646 | ||
| Avg Charges at DRG | $23,416 | ||
| Avg Charges with ICD I519 - Heart disease, unspecified | $27,378 | ||
| Mortality Rate at DRG | 0.47 | ||
| Mortality Rate with ICD I519 - Heart disease, unspecified | NA | ||
| SNF Discharge Rate at DRG | 6.11 | ||
| SNF Discharge Rate with ICD I519 - Heart disease, unspecified | NA | ||
| Home Discharge Rate at DRG | 64.46 | ||
| Home Discharge Rate with ICD I519 - Heart disease, unspecified | 67.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD I519 - Heart disease, unspecified | 2,343 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD I519 - Heart disease, unspecified in DRG | 6.68 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD I519 - Heart disease, unspecified | 2.59 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD I519 - Heart disease, unspecified | 9.87 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD I519 - Heart disease, unspecified | 3.57 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD I519 - Heart disease, unspecified | $26,172,980 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD I519 - Heart disease, unspecified | $4,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD I519 - Heart disease, unspecified | $11,171 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD I519 - Heart disease, unspecified | $140,660,680 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD I519 - Heart disease, unspecified | $60,034 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD I519 - Heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD I519 - Heart disease, unspecified | 23.69 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD I519 - Heart disease, unspecified | 35.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I519 - Heart disease, unspecified | 671 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I519 - Heart disease, unspecified in DRG | 1.91 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I519 - Heart disease, unspecified | 5.74 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I519 - Heart disease, unspecified | 23.64 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I519 - Heart disease, unspecified | 17.19 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I519 - Heart disease, unspecified | $5,939,035 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I519 - Heart disease, unspecified | $1,543 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I519 - Heart disease, unspecified | $8,851 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I519 - Heart disease, unspecified | $28,365,447 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I519 - Heart disease, unspecified | $42,273 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I519 - Heart disease, unspecified | 5.51 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I519 - Heart disease, unspecified | 15.8 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I519 - Heart disease, unspecified | 42.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I519 - Heart disease, unspecified | 488 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I519 - Heart disease, unspecified in DRG | 1.39 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I519 - Heart disease, unspecified | 4.33 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I519 - Heart disease, unspecified | 17.76 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I519 - Heart disease, unspecified | 13.16 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I519 - Heart disease, unspecified | $3,002,290 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I519 - Heart disease, unspecified | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I519 - Heart disease, unspecified | $6,152 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I519 - Heart disease, unspecified | $13,294,118 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I519 - Heart disease, unspecified | $27,242 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I519 - Heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I519 - Heart disease, unspecified | 17.21 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I519 - Heart disease, unspecified | 47.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD I519 - Heart disease, unspecified | 439 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD I519 - Heart disease, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD I519 - Heart disease, unspecified | 4.02 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD I519 - Heart disease, unspecified | 19.39 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD I519 - Heart disease, unspecified | 13.0 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD I519 - Heart disease, unspecified | $2,540,800 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD I519 - Heart disease, unspecified | $1,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD I519 - Heart disease, unspecified | $5,788 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD I519 - Heart disease, unspecified | $12,136,243 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD I519 - Heart disease, unspecified | $27,645 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD I519 - Heart disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD I519 - Heart disease, unspecified | 11.85 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD I519 - Heart disease, unspecified | 61.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 273 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 263 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 248 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES KRISTIAN HANBY | 3317 N WIMBERLY DR | FAYETTEVILLE | AR | 72703 | 60 |
| Dr. YOGESH MITTAL | 1809 E 13TH ST | TULSA | OK | 74104 | 40 |
| Dr. JAPHET G JOSEPH | 714 S TRUMBULL ST | BAY CITY | MI | 48708 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK ANTHONY HERRERA OPERARIO | 412 MAIN STREET | COLUMBIA | LA | 71418 | 90 |
| Dr. CHARLES KRISTIAN HANBY | 3317 N WIMBERLY DR | FAYETTEVILLE | AR | 72703 | 61 |
| Dr. ALEX K CURTIS | 203 US HIGHWAY 80 W | DEMOPOLIS | AL | 36732 | 60 |